Individual
ALYSSA HERNANDEZ PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
133 BENMORE DR STE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
Mailing address
133 BENMORE DR STE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
07/21/2021
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